Organization Name: | DERMATOLOGY ASSOCIATES OF SIOUXLAND, PC |
NPI Number: | 1417088907 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | J MARK DEMAY (DOCTOR) |
Mailing Address: | 2930 Hamilton Blvd Ste. 102 Sioux City |
State: | IA US |
Postal Code: | 511042425 |
Phone Number: | 7122779370 |
Fax Number: | 7122524733 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 04/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 207N00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |